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Rehabilitation for plexus injuries

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https://www.readbyqxmd.com/read/27830483/variations-in-the-innervation-of-the-long-head-of-the-triceps-brachii-a-cadaveric-investigation
#1
Alexandra J Erhardt, Bennett Futterman
BACKGROUND: Some leading anatomy texts state that all three heads of the triceps brachii are innervated by the radial nerve. The posterior cord of the brachial plexus bifurcates to terminate as the radial and axillary nerves. Studies have noted the presence of axillary innervation to the long head of the triceps brachii muscle, patterns different from the classic exclusive radial nerve supply. An understanding of these variations may assist the clinician in the assessment of shoulder weakness and in preoperative and operative planning of radial and axillary neuropathies...
November 9, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27823370/peripheral-neuropathy-of-a-forelimb-in-horses-27-cases-2000-2013
#2
Anne-Laure Emond, Lélia Bertoni, Maeva Seignour, Virginie Coudry, Jean-Marie Denoix
OBJECTIVE To describe the clinical features, diagnostic procedures, management, and outcome of horses with peripheral neuropathy of a forelimb. DESIGN Retrospective case series. ANIMALS 27 horses. PROCEDURES Records from 2000 to 2013 were reviewed to identify horses with peripheral neuropathy of a forelimb. Horses were grouped as having predominant lesions of a suprascapular nerve, axillary nerve, or radial nerve (alone or in association with other brachial plexus nerves) on the basis of physical examination and diagnostic imaging findings...
November 15, 2016: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/27535738/axillary-artery-pseudoaneurysm-resulting-in-brachial-plexus-injury-in-a-patient-taking-new-oral-anticoagulants
#3
Mohammed Monem, Mohamad Khalid Iskandarani, Kishan Gokaraju
We discuss the case of an independent 80-year-old Caucasian woman, being treated with new oral anticoagulants for a previous deep vein thrombosis, who had fallen on her right shoulder. She made a delayed presentation to the emergency department with a wrist drop in her right dominant hand. She had right arm bruising with good distal pulses but had a global neurological deficit in the hand. Plain radiographs of the shoulder, humerus, elbow, forearm and wrist demonstrated no fractures. MRI showed a significant right axillary lesion distorting the surrounding soft tissues, including the brachial plexus, and CT with contrast confirmed this to be a large axillary pseudoaneurysm...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27233591/rehabilitation-of-supinator-nerve-to-posterior-interosseous-nerve-transfer-in-individuals-with-tetraplegia
#4
Jodie Hahn, Catherine Cooper, Stephen Flood, Michael Weymouth, Natasha van Zyl
Despite being a routine part of the early surgical management of brachial plexus injury, nerve transfers have only recently been used as a reconstructive option for those with tetraplegia. Subsequently, there is limited published literature on the rehabilitation theories and techniques for optimizing outcomes in this population. This article seeks to address this void by presenting our centers' working model for rehabilitation after nerve transfers for individuals with tetraplegia. The model is illustrated with the example of the rehabilitation process after a supinator nerve to posterior interosseous nerve transfer...
June 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/26776904/the-role-of-elective-amputation-in-patients-with-traumatic-brachial-plexus-injury
#5
Andrés A Maldonado, Michelle F Kircher, Robert J Spinner, Allen T Bishop, Alexander Y Shin
BACKGROUND AND AIM: Despite undergoing complex brachial plexus, surgical reconstructions, and rehabilitation, some patients request an elective amputation. This study evaluates the role of elective amputation after brachial plexus injury. METHODS: A retrospective chart review was performed for all the 2140 patients with brachial plexus injuries treated with elective amputation between 1999 and 2012 at a single institution. Analysis was conducted on the potential predisposing factors for amputation, amputation level, and postamputation complications...
March 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/26552384/congenital-subaxial-cervical-subluxation-presenting-as-a-bilateral-erb-s-palsy-surgical-management-rehabilitation-and-outcome
#6
Ravi Sankaran, Rohan Shah, Sajesh Menon, Ashok Pillai
INTRODUCTION: Subaxial spine injuries during infancy are uncommon. CASE REPORT: We present the case of an infant referred to our brachial plexus clinic with proximal weakness of both arms noted immediately following a complicated breech delivery. Nerve conduction studies were consistent with bilateral proximal upper plexus injury; however, radiological evaluation revealed a C4-C5 subluxation and MRI features of bilateral C5 root avulsions. He was immobilized in a cervical-body orthosis and underwent open reduction and posterior C4-C5-C6 fixation at 10 weeks age using luque rods, sublaminar wires, and rib graft...
May 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26526618/anatomical-variation-in-bifurcation-and-trifurcations-of-sciatic-nerve-and-its-clinical-implications-in-selected-university-in-ethiopia
#7
Birhane Alem Berihu, Yared Godefa Debeb
BACKGROUND: The Sciatic nerve is the widest nerve of the body. It consists of two components, namely: the tibia and the common peroneal components derived from the ventral rami of L4 to S3 spinal nerves of the lumbosacral plexus. It exits the pelvis through the greater sciatic foramen below the Piriformis muscle and descends between the greater trochanter of the femur and ischial tuberosity of the pelvis to the knee. The purpose of this study is to identify the course and variations in branching pattern of the sciatic nerve which may lead to various clinical manifestations...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26421102/knee-megaprosthesis-a-salvage-solution-for-severe-open-and-complex-distal-femoral-fracture-associated-with-an-ipsilateral-brachial-plexus-injury-a-case-report-with-literature-review
#8
REVIEW
Badr Ennaciri, Christian Vasile, Thierry Lebredonchel, Mohamed Saleh Berrada, Eric Montbarbon, Emmanuel Beaudouin
Complex distal femoral fractures in the young patient often occur as a result of high velocity trauma. Timely recognition and treatment is everything in such a situation, and it needs a robust staged management pathway to optimize the chance of limb preservation. We report a case of a motorcyclist admitted to the department of orthopedics at Chambery hospital, France, with a complex comminuted and open distal femoral fracture of the left leg, associated with a brachial plexus injury to the ipsilateral upper limb...
2015: Pan African Medical Journal
https://www.readbyqxmd.com/read/26255300/attenuation-of-brain-grey-matter-volume-in-brachial-plexus-injury-patients
#9
Yechen Lu, Hanqiu Liu, Xuyun Hua, Jian-Guang Xu, Yu-Dong Gu, Yundong Shen
Brachial plexus injury (BPI) causes functional changes in the brain, but the structural changes resulting from BPI remain unknown. In this study, we compared grey matter volume between nine BPI patients and ten healthy controls by means of voxel-based morphometry. This was the first study of cortical morphology in BPI. We found that brain regions including the cerebellum, anterior cingulate cortex, bilateral inferior, medial, superior frontal lobe, and bilateral insula had less grey matter in BPI patients. Most of the affected brain regions of BPI patients are closely related to motor function...
January 2016: Neurological Sciences
https://www.readbyqxmd.com/read/25978554/nerve-transfers-in-the-upper-extremity-a-practical-user-s-guide
#10
REVIEW
Brian Rinker
Nerve injuries above the elbow are associated with a poor prognosis, even with prompt repair and appropriate rehabilitation. The past 2 decades have seen the development of numerous nerve transfer techniques, by which a denervated peripheral target is reinnervated by a healthy donor nerve. Nerve transfers are indicated in proximal brachial plexus injuries where grafting is not possible or in proximal injuries of peripheral nerves with long reinnervation distances. Nerve transfers represent a revolution in peripheral nerve surgery and offer the potential for superior functional recovery in severe nerve injuries...
June 2015: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/25931660/coordination-and-balance-in-children-with-birth-related-brachial-plexus-injury-a-preliminary-study
#11
Doria Bellows, Marija Bucevska, Cynthia Verchere
PURPOSE: Most children with severe birth-related brachial plexus injury (BRBPI) have some functional impairment, but information on the impact of BRBPI on coordination and balance is limited. The study's purpose was to determine whether children with BRBPI exhibit deficits in body coordination and balance. METHOD: A prospective cohort study involving 39 children with BRBPI aged 5-15 years was conducted. Range of motion, strength, active movement, and balance and coordination motor skills were assessed using the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2), and the Movement Assessment Battery for Children-Second Edition (MABC-2)...
2015: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/25840493/clinical-assessment-of-the-infant-and-child-following-perinatal-brachial-plexus-injury
#12
REVIEW
Susan V Duff, Carol DeMatteo
STUDY DESIGN: Literature review. INTRODUCTION: After perinatal brachial plexus injury (PBPI), clinicians play an important role in injury classification as well as the assessment of recovery and secondary conditions. Early assessment guides the initial plan of care and influences follow-up and long-term outcome. PURPOSE: To review methods used to assess, classify and monitor the extent and influence of PBPI with an emphasis on guidelines for clinicians...
April 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/25833303/the-phrenic-nerve-as-a-donor-for-brachial-plexus-injuries-is-it-safe-and-effective-case-series-and-literature-analysis
#13
Mariano Socolovsky, Gilda di Masi, Gonzalo Bonilla, Miguel Domínguez Paez, Javier Robla, Camilo Calvache Cabrera
BACKGROUND: Controversy exists surrounding the use of the phrenic nerve for transfer in severe brachial plexus injuries. The objectives of this study are: (1) to present the experience of the authors using the phrenic nerve in a single institution; and (2) to thoroughly review the existing literature to date. METHODS: Adult patients with C5-D1 and C5-C8 lesions and a phrenic nerve transfer were retrospectively included. Patients with follow-up shorter than 18 months were excluded...
June 2015: Acta Neurochirurgica
https://www.readbyqxmd.com/read/25787813/a-case-study-from-a-nursing-and-occupational-therapy-perspective-providing-care-for-a-patient-with-a-traumatic-brachial-plexus-injury
#14
Beverley Wellington, Claire McGeehan
This paper presents a case study that demonstrates how collaborative working between professionals enhanced the holistic care for a patient following a traumatic brachial plexus injury. The paper will describe the patient's journey of care from initial presentation, diagnosis and assessment, acute care provision, discharge & rehabilitation to ongoing supportive counselling. The care encompasses input from both a nursing and occupational therapy perspective.
February 2015: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/25724529/bionic-reconstruction-to-restore-hand-function-after-brachial-plexus-injury-a-case-series-of-three-patients
#15
Oskar C Aszmann, Aidan D Roche, Stefan Salminger, Tatjana Paternostro-Sluga, Malvina Herceg, Agnes Sturma, Christian Hofer, Dario Farina
BACKGROUND: Brachial plexus injuries can permanently impair hand function, yet present surgical reconstruction provides only poor results. Here, we present for the first time bionic reconstruction; a combined technique of selective nerve and muscle transfers, elective amputation, and prosthetic rehabilitation to regain hand function. METHODS: Between April 2011, and May 2014, three patients with global brachial plexus injury including lower root avulsions underwent bionic reconstruction...
May 30, 2015: Lancet
https://www.readbyqxmd.com/read/25525439/ultrasound-guided-pulse-dose-radiofrequency-treatment-of-neuropathic-pain-after-brachial-plexus-lesion-and-arm-revascularization
#16
Ernesta Magistroni, Davide Ciclamini, Bernardino Panero, Valter Verna
Neuropathic pain following brachial plexus injury is a severe sequela that is difficult to treat. Pulsed radiofrequency (PRF) has been proved to reduce neuropathic pain after nerve injury, even though the underlying mechanism remains unclear. This case report describes the use of ultrasound-guided PRF to reduce neuropathic pain in a double-level upper extremity nerve injury. A 25-year-old man who sustained a complete left brachial plexus injury with cervical root avulsion came to our attention. Since 2007 the patient has suffered from neuropathic pain (NP) involving the ulnar side of the forearm, the proximal third of the forearm, and the thumb...
2014: Case Reports in Medicine
https://www.readbyqxmd.com/read/25212519/massage-induced-brachial-plexus-injury
#17
Chih-Ya Chang, Yung-Tsan Wu, Liang-Cheng Chen, Rai-Chi Chan, Shin-Tsu Chang, Shang-Lin Chiang
BACKGROUND AND PURPOSE: There are few reports in the literature of adverse effects resulting from massage therapy (MT) and no reports of brachial plexus injury (BPI) associated with MT. This case report describes an uncommon case of BPI that developed after a session of MT and reviews previously published reports of peripheral nerve injury following MT. CASE DESCRIPTION: A 58-year-old Asian woman developed sudden unilateral paralysis of her left shoulder girdle after a session of MT...
January 2015: Physical Therapy
https://www.readbyqxmd.com/read/25085046/force-recovery-assessment-of-functioning-free-muscle-transfers-using-ultrasonography
#18
Narihito Kodama, Kazuteru Doi, Yasunori Hattori
PURPOSE: To evaluate the usefulness of ultrasonography for measurement of functioning free muscle transfer strength and estimate the capacity and potential of ultrasonography measurement. METHODS: Twenty-five patients underwent functioning free muscle transfer for brachial plexus injury. The cross-sectional areas (CSAs) of the transferred muscle and the contralateral gracilis (control) were measured using ultrasonography. First, the reliability and reproducibility of the ultrasonography measurements of the muscle CSA was investigated...
November 2014: Journal of Hand Surgery
https://www.readbyqxmd.com/read/25043695/shoulder-injuries-in-rugby-players-mechanisms-examination-and-rehabilitation
#19
REVIEW
Kevin Helgeson, Paul Stoneman
BACKGROUND: The sport of rugby is growing in popularity for players at the high school and collegiate levels. OBJECTIVE: This article will provided the sports therapist with an introduction to the management of shoulder injuries in rugby players. SUMMARY: Rugby matches results in frequent impacts and leveraging forces to the shoulder region during the tackling, scrums, rucks and maul components of the game. Rugby players frequently sustain contusion and impact injuries to the shoulder region, including injuries to the sternoclavicular, acromioclavicular (AC), and glenohumeral (GH) joints...
November 2014: Physical Therapy in Sport
https://www.readbyqxmd.com/read/25024887/neurologic-injury-in-snowmobiling
#20
Benjamin A Plog, Clifford A Pierre, Vasisht Srinivasan, Kaushik Srinivasan, Anthony L Petraglia, Jason H Huang
BACKGROUND: Snowmobiles are increasingly popular recreational, all-terrain utility vehicles that require skill and physical strength to operate given their inherent maneuverability, acceleration, and top speed capabilities. These same characteristics increase the risk of injury with the operation of these vehicles, particularly neurological injury. We characterize our series of 107 patients involved in snowmobiling accidents. METHODS: From January 2004 to January 2012, all snowmobiling-related injuries referred to our regional trauma center were reviewed...
2014: Surgical Neurology International
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